Tips & Tricks Find and assign the correct vision and hearing - PowerPoint PPT Presentation

Tips & Tricks Find and assign the correct vision and hearing codes Presenter: Steven Brust, HCS-D Product Manager, Home Health Coding Center 1 1 | Title of Presentation

Glaucoma Guidelines Assign as many codes from category H40, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage. Section I.C.7.a.1) The seventh character “4” is used for glaucomas whose stage cannot be clinically determined . This seventh character should not be confused with the seventh character “0”, unspecified, which should be assigned when there is no documentation regarding the stage of the glaucoma. Section I.C.7.a.5) 4 | Title of Presentation

Bilateral Glaucoma Guidelines When a patient has bilateral glaucoma and both eyes are documented as being the same type and stage , and there is a code for bilateral glaucoma, report only the code for the type of glaucoma, bilateral, with the seventh character for the stage. When a patient has bilateral glaucoma and both eyes are documented as being the same type and stage, and the classification does not provide a code for bilateral glaucoma (i.e. subcategories H40.10, H40.11 and H40.20) report only one code for the type of glaucoma with the appropriate seventh character for the stage. Section I.C.7.a.2) 5 | Title of Presentation

Bilateral Glaucoma Guidelines When a patient has bilateral glaucoma and each eye is documented as having a different type , and the classification does not distinguish laterality (i.e. subcategories H40.10, H40.11 and H40.20), assign one code for each type of glaucoma with the appropriate seventh character for the stage. Section I.C.7.a.3) 6 | Title of Presentation

Bilateral Glaucoma Guidelines When a patient has bilateral glaucoma and each eye is documented as having the same type, but different stage , and the classification does not distinguish laterality (i.e. subcategories H40.10, H40.11 and H40.20), assign a code for the type of glaucoma for each eye with the seventh character for the specific glaucoma stage documented for each eye. Section I.C.7.a.3) 7 | Title of Presentation

Vision Notes – H54.8 The table below gives a classification of severity of visual impairment recommended by a WHO Study Group on the Prevention of Blindness, Geneva, 6-10 November 1972. The term 'low vision' in category H54 comprises categories 1 and 2 of the table, the term 'blindness' categories 3, 4 and 5, and the term 'unqualified visual loss' category 9. If the extent of the visual field is taken into account, patients with a field no greater than 10 but greater than 5 around central fixation should be placed in category 3 and patients with a field no greater than 5 around central fixation should be placed in category 4, even if the central acuity is not impaired . 8 | Title of Presentation

Category of Visual acuity with best possible correction visual Maximum less than: Minimum equal to or better than: impairment 6/18 6/60 1 3/10(0.3) 1/10(0.1) 20/70 20/200 6/60 3/60 2 1/10(0.1) 1/20(0.05) 20/200 20/400 3/60 1/60(finger counting at one meter) 3 1/20(0.05) 1/50(0.02) 20/400 5/300(20/1200) 1/60(finger counting at one meter) 4 1/50(0.02) Light perception 5/300 5 No light perception 9 Undetermined or unspecified 9 | Title of Presentation